Individual provider · NPI-1

Norma O Cordova, FNP

Nurse Practitioner, Family · Smyrna, DE

NPI number1760264451

StatusActive

Last updated in NPPESSep 18, 2024

Details

NPI: 1760264451
Entity type: Individual (NPI-1)
Name: Norma O Cordova
Credential: FNP
Sex: Female
Sole proprietor: No
Enumeration date: Oct 17, 2023
Certification date: Sep 18, 2024
Last updated: Sep 18, 2024

Taxonomy and licenses

Taxonomy code	Description	License	State	Primary
363LF0000X	Nurse Practitioner, Family	LG-0012477	DE	Yes
163W00000X	Registered Nurse	L1-0046566	DE
363L00000X	Nurse Practitioner	LG-0012477	DE

Practice location

100 S Main St Ste 207
Smyrna, DE 19977-1479

Phone 302-659-4490 · Fax 302-659-4495

Mailing address

100 S Main St Ste 207
Smyrna, DE 19977-1479

Phone 302-659-4490 · Fax 302-659-4495

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